Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Potsdam, NY: $114.05

Avg. Paid

$114.05

Range

$20.14 – $139.63

Total Claims

240,383

Providers

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Potsdam, NY

Provider	Avg. Paid	Claims	Patients
Megan E Gagner 49 Lawrence Ave	$66.10	13	13
Tonya Seymour 50 Leroy St	$67.55	13	13
Gwen Lindsey Bonner 50 Leroy St	$62.14	13	13
Amber Wagg 50 Leroy St	$48.28	13	13
Luke Alexander Gillis 50 Leroy St	$60.29	16	15
Casey Lynn Unruh 49 Lawrence Ave	$63.99	25	25
Sharisse Napualani Smith 50 Leroy St	$64.67	27	24
Laurie Conroe Mousaw 49 Lawrence Ave	$65.79	31	31
An Tulloch 12 Elm St	$54.32	60	60
Justin Adam Mackinnon 50 Leroy St	$63.66	69	69
Amanda Ross 49 Lawrence Ave	$78.30	76	76
Heather Mackinnon 50 Leroy St	$57.59	80	80
Dawn M. White 49 Lawrence Ave	$79.98	105	104
Rajiv S Shah 50 Leroy St	$43.39	124	121
Sheryl Lynn Cruger 37 Pierrepont Ave	$67.80	130	127
Paul G. Walker 50 Leroy St	$54.44	150	147
Joseph Dominic Zollo 12 Elm St	$25.70	160	156
Matthew Cheevers 50 Leroy St	$45.68	173	168
Ricardo Luis Baez 49 Lawrence Ave	$20.14	173	168
Frederic D. Seifer 49 Lawrence Ave	$45.79	228	213
Madeline Twiss 50 Leroy St	$75.60	244	242
Kris Adwards Vanwagner 49 Lawrence Ave	$47.75	344	317
Bernadette Avila 49 Lawrence Ave	$54.48	350	345
Amit J Shanker 50 Leroy St	$44.53	364	304
Tatiana Dicoby 49 Lawrence Ave	$60.97	414	401
Rishi Kumar 49 Lawrence Ave	$48.29	455	416
Michelle L Kent 50 Leroy St	$51.98	505	501
John Ho Kim 50 Leroy St	$51.03	553	542
Jay F Schechter 49 Lawrence Ave	$74.57	606	590
Zachary Randall Willis 50 Leroy St	$55.67	609	608
Jayaram Radhakrishnan 50 Leroy St	$57.44	631	578
Rosemarie Heisse 50 Leroy St	$45.09	644	638
Meade Lent 50 Leroy St	$52.94	722	716
Terry Howland Knowles 50 Leroy St	$62.57	774	726
David Abbatematteo 49 Lawrence Ave	$57.16	855	817
Alison Grabowski 6805 Us Highway 11	$73.72	993	899
John C Devine 15 Raymond St	$59.53	995	937
Atif Suhail Iqbal 49 Lawrence Ave	$53.43	1,040	1,010
Joseph John Adams 50 Leroy St	$58.45	1,093	1,087
Cynthia Mondesir 15 Raymond St	$83.20	1,100	1,015
Mariam Hasanali Asar 50 Leroy St	$47.56	1,110	1,098
Mazin Ismail Abdullah 49 Lawrence Ave	$67.85	1,137	976
Mallory Sprague 49 Lawrence Ave	$81.49	1,162	1,133
Maurice Bettez 50 Leroy St	$67.16	1,229	1,187
Tayla Lyn Durant 15 Raymond St	$68.87	1,232	1,161
Velmalia Danette Matthews-Smith 50 Leroy St	$70.69	1,317	960
Matthew Bonner Mclain 50 Leroy St	$66.93	1,389	1,129
Frank Bateman 49 Lawrence Ave	$56.04	1,459	1,424
Wendy Alice Wais 49 Lawrence Ave	$56.50	1,587	1,564
Emily Louise Wood 49 Lawrence Ave	$61.42	1,774	1,688

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Potsdam, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Potsdam, NY is $114.05 per claim, based on 240,383 claims from 65 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Potsdam, NY?

There are 65 Medicaid providers offering Office Visit related services in Potsdam, NY according to public payment data.

What is the price range for Office Visit in Potsdam, NY?

Medicaid reimbursement for Office Visit in Potsdam, NY ranges from $20.14 to $139.63 per claim, with an average of $114.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Potsdam, NY: $114.05

Providers Offering Office Visit in Potsdam, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

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Other Procedures in Potsdam, NY

Blood Work & Lab Tests

Home Health Visit

X-Ray

Emergency Room Visit

Urinalysis & Urine Tests

Vaccines & Immunizations

Psychiatric Evaluation

Physical Therapy